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We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment.
Job Responsibility
Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures
Requirements
Previous experience in medical billing is required
Working knowledge of Medicare or Medicaid billing practices is strongly preferred
Experience handling insurance verification, medical claims, and claim follow-up is required
Familiarity with medical collections and payer communications is preferred
Proficiency with billing platforms such as Credible and Qualifacts is helpful
Ability to review detailed information carefully and maintain accuracy across multiple tasks
Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
Ability to manage responsibilities independently while supporting a collaborative team environment